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- W2108531790 abstract "Dystrophic calcification of various prosthetic materials in the human body has been previously reported. 1 Schoen F.J. Harasaki H. Kim K.M. Anderson H.C. Levy R.J. Biomaterial-associated calcification pathology, mechanisms, and strategies for prevention. J Biomed Mater Res. 1988; 22: 11-36 PubMed Google Scholar , 2 Anderson H.C. Calcific diseases. A concept. Arch Pathol Lab Med. 1983; 107: 341-348 PubMed Google Scholar , 3 Anderson H.C. Mechanisms of pathologic calcification. Rheum Dis Clin North Am. 1988; 14: 303-319 Abstract Full Text PDF PubMed Google Scholar We report an unusual case of dystrophic calcification of an implantable cardioverter-defibrillator (ICD) generator pocket presenting as impending erosion. A 77-year-old man with ischemic cardiomyopathy had an abandoned lead and ICD generator change before current presentation. Upon opening the pocket, the ICD generator was surrounded by white gritty material with heavy calcification and the old defibrillator lead was embedded in the calcified and fibrotic capsule (Figure 1). After extensive dissection, the calcified pocket was excised and the abandoned leads were cut and capped. The active leads were connected to the old generator, which was repositioned after resizing the enlarged pocket. Hematoxylin and eosin stain of the sample showed extensive basophilic staining suggestive of calcification (Figure 2). The local wound cultures were negative. No evidence of clinical infection was noted during follow-up over 12 months. Figure 2 View Large Image Figure Viewer" @default.
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- W2108531790 date "2005-07-01" @default.
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- W2108531790 title "“Porcelain pocket”: Dystrophic calcification of an implantable cardiac defibrillator pocket presenting as impending erosion" @default.
- W2108531790 cites W1981002758 @default.
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- W2108531790 doi "https://doi.org/10.1016/j.hrthm.2005.02.007" @default.
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